Moreover, patients suffering from ED should consider the impact of psychological issues on their ability to have sexual intercourse. A depressed person's chemical levels of arousal can be disrupted, making it difficult to respond appropriately to arousal. Another cause of ED is performance anxiety, which is usually a result of stress or performance. If you are a victim of performance anxiety, you may feel less manly and less sexually appealing to your partner. However, most men who suffer from ED seek treatment, but it is still important to remember that getting help is the best option.